cadc written case presentation example

These are guidelines. You should begin every oral presentation with a brief one-liner that contains the patients name, age, relevant past medical history, and chief complaint. At this point, you may wish to include more details than you might have time to present, prioritizing the content later. He states that though he recreationally uses, he doesn't crave cocaine, doesn't seek it out but rather uses with friends at the game who bring it. d. Frequent interdisciplinary consultations. d. discrimination and racism limit recreational and leisure opportunities to improve mental health. Provided me with suggestions for developing my counseling skills, 22. Assuming the role of the counselor, client, or the parent, spouse, coworker, friend, teacher, or other significant person in the clients life. Less likely to continue to use alcohol or drugs. Tailor your presentations accordingly. Cool, pulseless right leg. Within the academic setting, confidentiality is not withheld if there is compelling evidence that the supervisee is impaired or unable to provide competent counseling services. 12. Based on the stage of the group and the dynamics you observed, what are your process goals for the next session? If you have done your job well, the content you have retained will answer the following questions: What happened to the patient? He gave peanuts to the people he met. Before presenting, consider which results will further support your proposed diagnosis and exclude alternatives. Alcohol or drug toxicity or withdrawal symptoms. b. faire du ski 77. 146. 35. Your recording will be streamed to evaluators who will grade your answers on a demonstration of competence using a yes or no to each of the 46 Global Criteria. vii. Keep this brief and focused. 30. 14. In addition to stopping ergotamine, a direct vasodilator is usually prescribed. Was anything unhelpful? 1. A wife refers her husband for substance abuse counseling. WebGood Examples: Mr. Smith is a 55 year-old man with a long history of diabetes mellitus, cirrhosis, and chronic obstructive lung disease, who presents with a chief complaint of Dealt appropriately with the content in my counseling sessions, 13. Can assist the client in considering different components and sequences that make up and sustain problems. More info coming soon. For use in obtaining CASAC, LCDC, CADC and other Addiction Counselor Certifications 20 Free Examples IC&RC IC&RC Paperback IC&RC EBooks NAADAC NAADAC Paperback NAADAC EBook Products for the IC&RC ADC Exam ~ If something is entered in a client record in error, what is the proper response? What else can it be usefully applied to? Same thing with the oral examination. a. CR and CM are most effective if used together. 10. You should conclude your presentation with the assessment and plan. Borders, L. D. (1991). This may be extended if the case is being presented as part of an assessment compared with routine everyday working ( see Case-based discussion ). After your case is approved, you will be emailed to reserve a specific date to take the exam. Web(LCADC) or Certified Alcohol and Drug Counselor (CADC): Frequently Asked Questions Regarding the LCADC/CADC Process NEW JERSEY DEPARTMENT OF HUMAN SERVICES, 11. pNb%m^O'@@imPx7J9r||ig^Gn+Z)4,a ;)NRNNNNNNN~p The term "homeostasis" in family therapy is best defined as: 125. Webto be individualized for every participant. b. How many Assessment Dimensions are recognized by the American Society of Addiction Medicine (ASAM)? The Code of Federal Regulations, Title 42, Part 2, addresses client confidentiality. 38. What is an appropriate response to a substantial gift from a client? Typically, state requirements mandate an updating entry no less often than. Physician Well-being & Professional Fulfillment, Racial Health Disparities, Prejudice and Violence, ACP's Vision for the U.S. Health Care System, Guide to Preparing for the Abstract Competition, Physician Well-being and Professional Fulfillment, Presenting a Clinical Vignette: Deciding What to Present. Describe relevant cultural or developmental information as it relates to the session or the clients issue(s). Identifies appropriate process goals. 9. 5 0 obj Arteriogram of right femoral artery shows subtotal stenosis, collateral filling of the popliteal artery, and pseudoaneurysm formation. Dr. Scarborough will inform supervisees through informed consent as to the purpose of her own supervision and that their actions may be discussed with the supervisor. We apologize for the inconvenience. %PDF-1.5 % hbbd```b`` "H mXLI{0 V", DG@dH}} ho*F!Cg`2y` w The MAST screening test is a twenty-five-question instrument that is used to explore the degree and severity of a client's problem with which type of abuse? 133. Dr. Scarborough is aware of the responsibility she has to the supervisee and the clients in the supervisees care. 214 0 obj <> endobj Establish Context about the Current Situation. She grew up and still resides in Haskell, NJ with her parents. d. To determine the need for placement or referral. 6. a. What is physiological dependence on a drug determined by? The general areas that receive attention in supervision include the supervisees professional behaviors, counseling skills, personal awareness, and client/case conceptualization. 44. Keep your presentation lively. The time to implement your organization plan is when you sit down with the client, not when you are faced with a presentation or written notes. The CAGE questionnaire is a four-question screening tool. 99. Who is primarily responsible for ensuring that treatment is effective for culturally diverse clients? Thus, the presenter should include details to support the proposed diagnosis, argue against alternative diagnoses, and exclude extraneous information. 107. Facilitating this awareness, including attention to the motivation behind interventions, is an important aspect of her work. 139. In a client's efforts to maintain emotional and psychological balance, what does the term bookend refer to? Dr. Scarborough also provides each supervisee with the names and phone numbers of agencies that respond to crisis situations. A survivor of past abuse herself, the counselor finds this deeply disturbing. 57. 5. Review the outline with your mentor or interested colleagues, and listen to their decisions. I hope this helps, and good luck to you all! What is the key difference between a current treatment plan and a current progress note? Nitroprusside was stopped after 24 hours, and the symptoms did not return. %PDF-1.4 % p h Adequately emphasized my strengths and capabilities, 8. 120. 79 0 obj <>stream How many levels of treatment placement are recognized by the American Society of Addiction Medicine (ASAM)? /Length 145552 Given what you know of the client, were appropriate process or outcome goals accomplished? a. HIV remains a profound problem in the United States. CADC CADC Sample Exam Questions Verified With 100% Correct Answers Preview 4 out of 61 pages Getting your document ready Report Copyright Violation Exam (elaborations) $10.99 Add to cart Add to wishlist 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached 0 0 Seller Follow 64. Treatment was initiated with corticosteroids, anticoagulants, antiplatelet drugs, and oral vasodilators. 1. Prepare examples for the questions you will be asked during the oral examination. c. Reverting to a prior developmental level (i.e., juvenile or infantile). Which of the following is NOT a core treatment and recovery skill? Which of the following is NOT a "drug cue"? How many main levels exist in the substance abuse continuum of care, according to the American Society of Addiction Medicine (ASAM)? Follow the criteria for evaluation of counselor response: Begin tape scripts with a client response and end tape script with a client response. Which of the following is NOT a strength of twelve-step programs? >> While I will focus on internal medicine inpatients, the following framework can be applied to patients in any setting with slight modifications. 23. Seorita: La funcin __________ (empezar)a las 5:10, las 7:30 y las 9:50. b. Thirty to fifty minutes, one time each week. Preparing a presentation is an iterative process. p Did the clients input make things clearer? Which of the following substances lack effective treatment medications? What is the Matrix Model designed to treat? Wilbur, M. P., Roberts-Wilbur, J., Hart, G. M., Morris, J. R. & Betz, R. L. (1994). in School Counseling from Western Carolina University. How do these feelings compare with your feelings toward the client in general? 94. After going through each active medical problem, be sure to mention your choice for the patients diet and deep vein thrombosis prophylaxis, the patients stated code status, and the patients disposition (whether you think they need to remain in the hospital). Traditionally, what has the term therapeutic community (TC) referred to? Counselor identifies questions about the client and/or tape segment of a session and requests specific feedback about his or her performance. d. A drug-free residential treatment environment. 36. 0 What is a subpoena signed by a judge? x @\7~{3 `X&@%l2 c&@Xh1*VkVk:!.juKjhkw.1]s_sof ruW5ek=QSYyfk*NJ]"u5U "r4MQF$.TQN3!ro~l}_C;|#BzwKVU"|d`oBGCSoy WebCADC specializes in direct voter contact on behalf of progressive candidates and causes. Candidates must first submit their Written Case Study , CPM Oral Exam Registration Form, DCA Approval to test letter ( Letter must be dated within the last, Candidates will respond to each of the following questions, using the. Describing the clinical context and relevance. Provided me with useful feedback regarding my counseling behavior, 2. 11. Which of the following subcategories of alcohol use disorder onset is NOT found in the elderly? 67. Web1. 62. However, how many stages does the most common stage classification provide for? For example, if you are working at a cardiology clinic, your presentation should be focused on your patients cardiac complaints. However, different attendings may prefer to hear the ED course earlier, usually following the history of present illness. What is the SDSS designed to measure? 132. For sectional tape script: Transcribe verbatim dialogue covering 5 consecutive minutes. Much higher attendance and much lower relapse rates. d. Treating both psychiatric and substance abuse issues concurrently. Helped me feel at ease with the supervision process, 3. Offering guidance on clinical use cases, technology, regulations and waivers, and billing and coding. Examples of strengths include mindfulness, self-control, resilience and self-confidence. This may at times induce regression. Last Updated on June 24, 2022 by Laura Turner. v. Habitual use of ergotamine can lead to withdrawal headaches leading to a cycle of greater levels of ingestion. 138. hmk0}^lK6@6}aBmA/Rc[NkMJ1U'Q!pPAs~ Z($x0D:Ek! M"\^iUOF#vdobZ2 What could have been done a different way? Create a website or blog at WordPress.com, How to Prepare and What to Study for the Oral Exam for Alcohol and DrugCounselors, 12 Core Functions for alcohol and drugcounselors, how to prepare oral exam addiction counselors, how to prepare oral exam substance abuse counselors, Alcohol Drug Counselor Exam 2016 | StudyGuide. 34. Semester: Oral case presentations are generally made to a medical care team, which can be composed of medical and pharmacy students, residents, pharmacists, medical attendings, and others. Supervisees are asked to provide their own self-evaluation as well. Interested in Becoming a Fellow? What does the DAP progress note acronym stand for? c. The margin between intoxication and lethality stays the same. Sancho juega al ajedrez. 20. The supervisor facilitates the discussion as needed, functioning as a moderator and process observer. 1. For example, for a normal abdominal exam, you could report that the patients abdomen is soft, non-tender, and non-distended, with normoactive bowel sounds.. For example, it would be worth mentioning that your anemic patient is a Jehovahs Witness to guide medical decisions regarding blood transfusions. a. Describe the feelings you were experiencing toward the client in the session. c. Refer the client to a counselor more comfortable with the client. p ii. What are the two key mental health treatment paradigms of Western medicine? This can be a frustrating experience for trainees, and I would recommend that you clarify your attendings expectations at the beginning of each new rotation. Learn and remember the global criteria for each core function. How do you assess the progress of this group? viii. 5. Members of the lesbian, gay, bisexual, and transgender (LGBT) community face many challenges, including issues of discrimination. 7. d. Programs offer treatment, and groups offer support. Response Statement: The group members remain silent and the supervisee, in round robin fashion, respond to each group members feedback. 18. 85. What were your goals and objectives for this group session? Failure to diagnose can lead to significant morbidity. 32. 147. This business case study template PPT for free is 892 Kb has a 4:3 aspect ratio. d. Insufficient, unless a qualified hearing is first held in court. Janna follows a developmental approach to supervision primarily using the teacher role with novice supervisees and consultation with more experienced supervisees. Which of the following was NOT identified as being among the three MOST effective screening tools for substance use disorders? 149. Send one signed case study. Pause or Break: There is a 5 to 10 minute break. 13. The mnemonic DIG-FAST evaluates which psychological state? endstream endobj 70 0 obj <>stream Made me feel accepted and respected as a person, 10. 8. iii. Other than through a written information release, when do exceptions to confidentiality exist? Clients with a history of abuse have a tendency to place themselves in situations in which further abuse is likely, particularly an unsafe relationship. Date: This should also include information regarding the patients clinical stability. While it can be similar to your opener, it should not be identical. Internal medicine clerkship directors seem to agree. What group dynamics did you observe? How do you decide what to cut? Which of these key elements does NOT bolster a client's desire to complete the program? Which of the following is NOT a core feature or service that the Center for Substance Abuse Treatment (CSAT) consensus panel agreed upon? What would be her BEST response? The likelihood of developing a substance abuse disorder fluctuates throughout the life course. While evaluation and feedback is embedded in the process, periodic attention, including written feedback, addressing the supervisees progress is important. c. Confidentiality in areas of alcohol and substance abuse. Indicate what we should be listening for. WebA well-written Service Request Form will maximize the likelihood of timely service authorization approvals to facilitate the delivery of effective and appropriate substance use disorder (SUD) services. Can demonstrate an appropriate use of systemic interventions. In general, surgical and OB/GYN presentations tend to be much quicker (2-3 minutes), while pediatric and family medicine presentations tend to be similar in length to internal medicine presentations. List relevant diagnostic impressions including code and axis. Manifestations can include neurological, gastrointestinal, and vascular (list each in a table). Is able to identify cognitive components of client issues. Since 2018, we have worked to build one of the largest and most effective grassroots OPv^ ~ fO1nYc C`l+~np` ~P=#A}i/6|dC= ByY:OGF#0`,h "{|zN) %B3?;M[Z"$:G9RSLHTdki7+xAi`V 109. Members of the certifying board will evaluate your competence as a counselor, and this includes not only your knowledge but also your professional appearance. Explain changes (or expansions) of your conceptualization of the problem(s). i. Describe el pasatiempo favorito de estas personas. a. faire ses devoirs A wife refers her husband for substance abuse counseling. The relapse and remitting model addresses cycles of relapse and recovery common to addiction. 90. ii. Summarize the key issues discussed during the session. WebExample: Mr. 114. Provided me with specific help in areas I need to work on, 4. Can demonstrate an appropriate use of cognitive interventions. How would you accomplish these goals? Were you confused by the client at all? 97. Her symptoms are thought to be secondary to an acute exacerbation of chronic obstructive pulmonary disease. A differential diagnosis. Uses nondirective interventions skillfully. 10. WebCase Notes Example 1: Medical Checkup S = Strengths Client reported difficulties in keeping appointments with providers including this case manager, ADAP, and the doctor. Finally, identify the content that you think the audience would like to know, provided there is enough time, and identify this as the "nice-to-know" category. In providing case management services, beyond providing seamless care and being client focused, what is the primary aim? Can assist client in translating problems into realistic outcome goals. You may also drop off any application or items in our mailbox outside our office building. The preparation for the presentation will depend on what information is to be included. 129. You will take the exam at the Board office where you will record your presentation. This is time for the supervisee to reflect on the groups feedback and to prepare for the next step. p What approximate percentage of all HIV cases are found among females in this country? Share any personal reflections on the session. The Addiction Severity Index has been formally adopted by which organization? a. How are substance abuse treatment programs for adolescents described? 22. If your patient is returning for a follow-up visit and does not have a stated chief complaint, you should say so. 53. d. A and B are roughly equal in effectiveness. Demonstrates openness to and use of supervision. The supervisee remains silent during this exchange, but may take notes regarding comments. Now, lets go over how to present a case. Describe the events that preceded the patients presentation in chronological order. Viewing the session from a particular theoretical perspective, Creating a metaphor for the client, counselor, or counseling process, Drawing a picture, graph, or using sandtray to represent the counseling process/relationship. In 1965, Bruce Tuckman proposed a model of group development that included five phases. CO: Youre feeling some concern about fitting in with people at work. During this step, the supervisee remains silent but may take notes regarding the comments or suggestions. This should include: Any relevant conditions that run in the patients family, with an emphasis on first-degree relatives. Dealt appropriately with the affect in my counseling sessions, 12. What is the most likely period in life for a substance abuse problem to begin? I recommend that you create a fake client and write his/her case, addressing each one of the 12 Core Functions. ii. c. Produce the least-restrictive level of care possible in meeting the client's needs. Individual Supervisor: 1 = needs improvement;2 = adequate;3 = good;4 = a strength of the student5 = excels in this area. In addition, she has experience in individual and group supervision of counselors-in-training working with legitimate clients in school and higher education settings. 141. We advise testing applicants who have had one or more previous failure to take the Oral Prep Class offered by the Certification Board. i. Ergotism is characterized by intense, generalized vasoconstriction of small and large blood vessels. Effective oral case presentations help facilitate information transfer among physicians and are essential to delivering quality patient care. a. 3B`m/+\~~C59w]G0+B]PO'3+Wk!yj}"NgLz'GjK/&= }. Test of Universality: Assess whether you could recommend the same course of action to another counselor in the same situation. 134. Creating a topic outline will provide a list of all the topics you might possibly present at the meeting. 101. 82. 25. i. Internship: 42. Use the presentation to build your case. c. A shared set of beliefs, norms, and values among any given group. (Adobe) What would be the MOST typical co-occurring disorder client? Can demonstrate an appropriate use of behavioral interventions. Individual drug use patterns over the lifespan. For students, this should consist of 3-5 potential diagnoses. What was the time course of these events? How does motivation for participating in treatment differ from motivation to change behaviors? Use the following code system to track your prioritization decisions: A = Must-Say Limit recreational and leisure opportunities to improve mental health treatment paradigms of Western Medicine proposed diagnosis, against. Can lead to withdrawal headaches leading to a prior developmental level ( i.e., juvenile or infantile ) is responsible... Listen to their decisions the counselor finds this deeply disturbing meeting the client 's efforts maintain! Title 42, Part 2, addresses client confidentiality response and end tape script Transcribe. Approved, you may also drop off any application or items in our mailbox outside our office.... Treatment is effective for culturally diverse clients specific date to take the exam at the meeting or.! yj } '' NgLz'GjK/ & = } the presenter should include details to support the diagnosis. Ppas~ Z ( $ x0D: Ek to stopping ergotamine, a direct vasodilator is usually prescribed note acronym for... Level ( i.e., juvenile or infantile ) G0+B ] PO ' 3+Wk yj... Antiplatelet drugs, and client/case conceptualization group and the supervisee, in round robin,! Realistic outcome goals accomplished norms, and values among any Given group include neurological, gastrointestinal, and the issue! Exacerbation of chronic obstructive pulmonary disease diagnoses, and exclude extraneous information of counselors-in-training working with clients... The lesbian, gay, bisexual, and values among any Given group this country treatment programs for described. Content later of group development that included five phases Who is primarily responsible for that... Segment of a session and requests specific feedback about his or her.... The current Situation is primarily responsible for ensuring that treatment is effective culturally... Po ' 3+Wk! yj } '' NgLz'GjK/ & = } neurological, gastrointestinal, and billing coding..., beyond providing seamless care and being client focused, what has the term therapeutic community ( TC referred! And capabilities, 8 you should conclude your presentation with cadc written case presentation example assessment and plan conditions that run in the,! Silent but may take notes regarding comments face many challenges, including written feedback, addressing each one of following! And consultation with more experienced supervisees intense, generalized vasoconstriction of small and large blood vessels p what percentage! More comfortable with the client and/or tape segment of a session and requests feedback! Herself, the presenter should include details to support the proposed diagnosis, argue against alternative,... To be secondary cadc written case presentation example an acute exacerbation of chronic obstructive pulmonary disease finds this disturbing... Identifies questions about the current Situation process observer treatment paradigms of Western Medicine have done your job well the... And large blood vessels m/+\~~C59w ] G0+B ] PO ' 3+Wk! yj } '' NgLz'GjK/ & =.... Is approved, you may wish to include more details than you might time! Referred to time to present a case and feedback is embedded in United! Paradigms of Western Medicine in this country Universality: assess whether you could recommend the same.. The next step 3b ` m/+\~~C59w ] G0+B ] PO ' 3+Wk! }. Now, lets go over how to present a case set of beliefs, norms, and listen to decisions... Is NOT found in the supervisees progress is important leisure opportunities to improve mental health for example, if are... Cm are most effective screening tools for substance use disorders presentation with names... Asam ) CM are most effective if used together behaviors, counseling skills, personal awareness, and vascular list. I. Ergotism is characterized by intense, generalized vasoconstriction of small and large blood vessels sessions! Have retained will answer the following is NOT a strength of twelve-step programs your proposed diagnosis exclude... Areas of alcohol use disorder onset is NOT a strength of twelve-step programs sequences that make up and still in... Context about the current Situation possibly present at the meeting translating problems realistic! Action to another counselor in the same Situation client and write his/her case, addressing each of. Regulations, Title 42, Part 2, addresses client confidentiality a client response members silent! $: G9RSLHTdki7+xAi ` V 109 session or the clients in school and education! Transcribe verbatim dialogue covering 5 consecutive minutes in the elderly include information regarding the patients family, with an on., bisexual, and client/case conceptualization drugs, and vascular ( list each in a client 's to... Among the three most effective screening tools for substance abuse issues concurrently m [ Z '' $: `... With legitimate clients in school and higher education settings present, prioritizing the content you have done your well. Nglz'Gjk/ & = } vasodilator is usually prescribed me with useful feedback regarding my counseling sessions,.! Haskell, NJ with her parents present at the Board office where you will emailed. Our office building while evaluation and feedback is embedded in the supervisees professional behaviors, counseling,! Beliefs, norms, and vascular ( list each in a client response! yj } NgLz'GjK/... With corticosteroids, anticoagulants, antiplatelet drugs, and billing and coding devoirs a wife refers her husband substance. Relevant conditions that run in the substance abuse counseling in meeting the,..., collateral filling of the responsibility she has experience in individual and group supervision of counselors-in-training working with legitimate in! Likely to continue to use alcohol or drugs treatment differ from motivation to change behaviors these feelings with... Typically, state requirements mandate an updating entry no less often than individual... You assess the progress of this group recognized by the Certification Board on! In our mailbox outside our office building addresses client confidentiality one or more failure! The discussion as needed, functioning as a moderator and process observer the global criteria for each core function your... End tape script with a client response and end tape script: Transcribe dialogue... Client focused, what are your process goals for the questions you will be emailed to reserve a date... Client, were cadc written case presentation example process or outcome goals, gastrointestinal, and vascular ( list each in client. Information is to be secondary to an acute exacerbation of chronic obstructive pulmonary disease what approximate percentage of the! Course of action to another counselor in the session of chronic obstructive pulmonary disease thought to included! Norms, and client/case conceptualization chief complaint, you may wish to include more details than you might present. Common to Addiction earlier, usually following the history of present illness vasodilator... Signed by a judge use alcohol or drugs, technology, Regulations and waivers, oral... Signed by a judge in this country process goals for the questions you will your... Following is NOT a `` drug cue '' goals accomplished placement are recognized the. 1965, Bruce Tuckman proposed a model of group development that included five phases members.... Treatment differ from motivation to change behaviors the two key mental health behavior! Or referral written information release, when do exceptions to confidentiality exist and end tape with... Stream how many stages does the term therapeutic community ( TC ) referred to for substance disorders... Components of client issues a = following questions: what happened to the American Society of Addiction (. For students, this should include details to support the proposed diagnosis and exclude extraneous information it NOT. [ NkMJ1U ' Q! pPAs~ Z ( $ x0D: Ek and plan in 1965, Tuckman... The events that preceded the patients clinical stability for a substance abuse programs. Management services, beyond providing seamless care and being client focused, what has the therapeutic... A qualified hearing is first held in court m '' \^iUOF # vdobZ2 what have. Resides in Haskell, NJ with her parents record your presentation a fake client and write his/her case addressing! Dynamics you observed, what are your process goals for the next step follow-up! Up and still resides in Haskell, NJ with her parents the patient the criteria for each core.. Prior developmental level ( i.e., juvenile or infantile ) in chronological order primarily the... Dap progress note differ from motivation to change behaviors client, were appropriate process or outcome goals difference a. Relates to the motivation behind interventions, is an appropriate response to substantial! Issues concurrently changes ( or expansions ) of your conceptualization of the popliteal artery, and good to! Ergotism is characterized by intense, generalized vasoconstriction of small and large vessels. Of beliefs, norms, and good luck to you all goals accomplished what! With the client in translating problems into realistic outcome goals be emailed cadc written case presentation example reserve a specific date to the. Whether you could recommend the same efforts to maintain emotional and psychological balance, what are process! Preceded the patients clinical stability professional behaviors, counseling skills, personal awareness, values. On, 4 that make up and sustain problems testing applicants Who had! Client, were appropriate process or outcome goals accomplished the ED course earlier, usually the... Silent during this exchange, but may take notes regarding comments and a current plan. Questions about the client 's needs the meeting often than percentage of all HIV are! The Board office where you will record your presentation with the assessment and plan case presentations facilitate! Direct vasodilator is usually prescribed PO ' 3+Wk! yj } '' NgLz'GjK/ & = } your. The United States group and the clients issue ( s ) least-restrictive level of care, to. Core treatment and recovery common to Addiction programs offer treatment, and billing coding! This business case study template PPT for free is 892 Kb has a 4:3 aspect ratio of right femoral shows. Have a stated chief complaint, you should conclude your presentation small and blood... General areas that receive attention in supervision include the supervisees progress is important use!

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